ZipRecruiter

Log In

1

Utilization Case Manager Jobs in Tulsa, OK (NOW HIRING)

Hillcrest Healthcare System

Social Worker MSW

Tulsa, OK · On-site

Third, to provide clinical social work services, case management, and discharge planning within the continuum of care, ensuring efficient and effective utilization of hospital services and resources ...

Hillcrest Healthcare System

Social Worker MSW

Tulsa, OK · On-site

Third, to provide clinical social work services, case management, and discharge planning within the continuum of care, ensuring efficient and effective utilization of hospital services and resources ...

CREOKS Health Services

Psychiatrist

Tulsa, OK · Remote

$230K - $290K/yr

... case managers, registered nurses, and medical assistants who facilitate visits, gather collateral ... Participate in peer review, quality improvement, and utilization review activities as requested by ...

Sequel Employment Center

Clinical Supervisor

Tulsa, OK · On-site

The Job We are seeking a Clinical Supervisor to manage and direct the Clinical and Treatment Plan ... Monitor the utilization of authorized services and frequency of overtime to ensure effective use of ...

Dane Street, LLC

Oklahoma Chiropractor

Tulsa, OK · On-site

$69K - $85K/yr

... utilization review/management expertise * Expanded credentials as an expert in Independent Medical Exams * Fully prepped cases, streamlined case flow, transcription services at no cost, and a user ...

previous page

Showing results 41-60

All JobsUtilization Case JobsUtilization Case Manager JobsUtilization Case Manager Jobs in Tulsa, OK

Utilization Case Manager information

See Tulsa, OK salary details

$15

$33

$54

How much do utilization case manager jobs pay per hour?

As of Aug 22, 2026, the average hourly pay for utilization case manager in Tulsa, OK is $33.33, according to ZipRecruiter salary data. Most workers in this role earn between $27.02 and $35.14 per hour, depending on experience, location, and employer.

What is a utilization case manager?

A Utilization Case Manager is a healthcare professional responsible for evaluating the necessity, appropriateness, and efficiency of medical services provided to patients. They review patient cases, coordinate with healthcare providers, and ensure that treatments are in line with established guidelines and insurance requirements. Their goal is to optimize patient outcomes while managing costs and ensuring compliance with regulations. Utilization Case Managers often work in hospitals, insurance companies, or managed care organizations.

What are the key skills and qualifications needed to thrive as a utilization case manager?

To thrive as a Utilization Case Manager, you need a background in nursing or social work, strong analytical skills, and a solid understanding of healthcare regulations and insurance processes, often supported by RN licensure or certification in case management (e.g., CCM). Familiarity with utilization management software, electronic health records (EHRs), and payer authorization systems is essential. Excellent communication, critical thinking, and negotiation skills help facilitate collaboration among patients, providers, and payers. These skills ensure appropriate care delivery, cost management, and compliance with healthcare standards.

How does a utilization case manager typically collaborate with healthcare providers and insurance companies?

Utilization Case Managers play a key role in coordinating care between healthcare providers and insurance companies. They review patient cases to ensure that the recommended treatments are medically necessary and align with insurance policies. This often involves regular communication with doctors, nurses, and insurance representatives to gather information, clarify treatment plans, and advocate for appropriate patient care. Strong collaboration skills are essential, as Utilization Case Managers must balance the needs of patients with organizational guidelines while maintaining positive professional relationships.

What is the difference between Utilization Case Manager vs Utilization Review Nurse?

AspectUtilization Case ManagerUtilization Review Nurse
CredentialsRN license, case management certificationRN license, certification in utilization review
Work EnvironmentCase management teams, hospitals, insurance companiesUtilization review departments, hospitals, insurance providers
Primary FocusCoordinating patient care, discharge planning, resource allocationAssessing medical necessity, reviewing patient records for appropriateness
Common UsageBroader case management roles, patient advocacySpecific review of medical necessity and insurance claims

While both roles require RN licensure and focus on patient care, the Utilization Case Manager primarily coordinates overall patient services and discharge planning, whereas the Utilization Review Nurse concentrates on evaluating the medical necessity of treatments for insurance purposes. Understanding these distinctions helps in choosing the right career path or job search focus.

What degree do I need for utilization case manager?

Utilization case managers typically need at least a bachelor's degree in healthcare, social work, nursing, or a related field. Some positions may prefer or require a master's degree or relevant certifications, such as Certified Case Manager (CCM) or Certified Professional in Healthcare Quality (CPHQ).

What are popular job titles related to Utilization Case Manager jobs in Tulsa, OK?

For Utilization Case Manager jobs in Tulsa, OK, the most frequently searched job titles are:

What job categories do people searching Utilization Case Manager jobs in Tulsa, OK look for?

The top searched job categories for Utilization Case Manager jobs in Tulsa, OK are:

What cities near Tulsa, OK are hiring for Utilization Case Manager jobs?

Cities near Tulsa, OK with the most Utilization Case Manager job openings:

Utilization Case Manager jobs near you

CHS Care Case Manager - LPN - Tulsa

Muscogee Creek Nation

Tulsa, OK • On-site

$20.75 - $27.25/hr

Full-time

Re-posted 7 days ago

Job description

MINIMUM QUALIFICATIONS

Education – A licensed practical nurse (LPN) received from an accredited school of professional nursing is preferred or a vocational practical nursing program. Candidates who have graduated from an associate’s degree program or other program of at least two (2) years in a nursing curriculum may be considered.

Experience – A minimum of one (1) year related experience in a relevant job position.

Licenses & Certification - Must possess current State of Oklahoma Nursing License.

Knowledge & Skills –

  1. Knowledge of all aspects of Contract Health Services in a tribal PL 93-638 environment. Knowledge of IHS and Health System policies and procedures related to CHS.
  2. Knowledge of acceptable standards of nursing practices, principles and theories.
  3. Knowledge of the Privacy Act and other related regulations with regards to confidentiality and the release of medical information.
  4. Ability to communicate and interact effectively with patients and their families, staff members, other employees, tribal officials and the public both orally and in writing.
  5. Knowledge of patient teaching/counseling techniques.
  6. Knowledge of regulations regarding pre-certification, etc., of various insurance companies.
  7. Ability to communicate and accept varied lifestyles, healing methods and practices.
  8. Knowledge and skill to utilize a PC in a Windows environment and to operate other necessary office equipment.
  9. Ability to communicate courteously and effectively with administrative and medical staff, patients and their families, Tribal and Non-Tribal health care professionals and the general public both orally and in writing.
JOB SUMMARY

The purpose of this position is to facilitate and expedite CHS referrals throughout the Muscogee (Creek) Nation Health System by providing day-to-day management for individual patients within the CHS system.

WORK ENVIRONMENT

Work is performed in an ambulatory healthcare setting, though the work may include a certain amount of exposure to hostile and emotionally disturbed patients.

PHYSICAL DEMANDS

Work requires the demands of normal office, though some travel may be required throughout the MNHS and among the various health care providers utilized by the MNHS.

ESSENTIAL FUNCTIONS

Satisfactory job performance will be determined by successful execution of the following:

  1. Responsible for conducting diagnostic chart reviews of each request (Referral and Call-in) received from the ambulatory clinics. Make initial decisions regarding categorization under the medical priority system based upon the diagnostic chart reviews.

  2. Consult with the supervisor, the Chief Medical Officer (CMO) and other members of the CHS team as necessary to facilitate correct decision-making regarding cases which do not clearly fall within the guidelines of the medical priorities.

  3. Facilitate weekly meetings with the CMO and other members of the CHS management team as necessary to discuss issues regarding individual referrals and other questions which arise during the course of review.

  4. Arrange for consultations with patients and family members and provide them individual guidance and education regarding the CHS system.

  5. Facilitate patient and family understanding of the policies and procedures of the CHS System and coordinate the movement of patients through the system.

  6. Prepare treatment and discharge plans for individual patients where indicated.
  7. Provide utilization reviews to ensure that services available within the MNHS are utilized whenever possible after making referrals outside the system.
  8. Consult with the referring physician if services are not available to prepare alternate treatment plans based on patient history.
  9. Regular attendance is required.
  10. Performs other duties as required.
  11. Provide transition of care services.
  12. Serve as a patient resource.

    Apply